A Case Report of Thoracic Endovascular Aneurysm Repair under Local Anesthesia with Resolution of Acute Onset Lower Extremity Paraplegia from an Acute Complicated Type B Aortic Dissection

Selma El Hag, Susan Shafii, Elizabeth Hartman, Andrew Grande, Michael S. Rosenberg, Ramachandra Tummala, Gabriel Loor, Rumi Faizer

Research output: Contribution to journalArticle

Abstract

Spinal cord ischemia (SCI) is a rare presenting symptom of acute complicated type B aortic dissection, occurring in approximately 3% of patients . We present a case report of a patient with this presentation who had observed resolution of his paraplegia symptoms immediately after placement of a thoracic stent graft under local anesthesia. The temporal association between true lumen flow restoration and paraplegia resolution intraoperatively is a novel finding. We feel that this case report may provide support for recognized cord perfusion theory, as well as contribute to the understanding of the time frame associated with SCI and reversibility of paraplegia.

Original languageEnglish (US)
JournalAnnals of Vascular Surgery
DOIs
StateAccepted/In press - Jan 1 2020

PubMed: MeSH publication types

  • Case Reports

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